Montclair State University Division of Human Resources TUITION WAIVER FORM FOR DEPENDENT CHILDREN, SPOUSES AND PARTIES TO A CIVIL UNION The tuition wavier program provides partial waiver of tuition credits at Montclair State University for eligible dependent children, spouse and civil partner (herein referred to as Applicant) of employees covered by Agreement between the State of New Jersey and the bargaining unit (AFT, CWA, IFPTE, PBA) This waiver also applies to dependent of Managerial classification This applications MUST be submitted to Montclair State University, Office of Human Resources, employeetuition@montclair.edu by the due date set forth immediately below Application Due Date: Fall Semester – August 10 Spring Semester – January 10 Summer Sessions – May 15 Employee Name (Please Print): _ CWID: Department: Date of Hire: _ Applicant Name: Nature of Relationship: _ Current Term: Fall 20 Spring 20 Summer 20 and list of course(s) for which a waiver is being requested: Course Title: _ Course Number: # Credits Course Title: _ Course Number: # Credits Course Title: _ Course Number: # Credits Course Title: _ Course Number: # Credits If needed, please list additional courses on reverse side of application All applications must include the following documents: Letter of acceptance from University’s Office of Admission (1st time Applicants only) If applicant is child, copy of a certified birth certificate verifying that the child is twenty-three (23) years of age or younger If applicant is spouse or party to a civil union, documentation verifying applicant’s connection with employee Course(s) description *Note: Must provide financial aid eligibility to Student Accounts office I attest that all of the foregoing information is accurate _ Employee Signature _ Date _ Vice President for Human Resources _ Date Approved Not approved Montclair State University Division of Human Resources TUITION WAIVER POLICY DEPENDENT CHILDREN, SPOUSES AND PARTIES TO A CIVIL UNION Eligibility Requirements The employee must first satisfy each of the following criteria: The employee must be employed in a position in any Union bargaining unit or hold a managerial title in good standing at Montclair State University The employee must remain in employment status in a managerial title for the entire period during which the application is a beneficiary of the tuition waiver program The employee must remain in employment status under any Union bargaining unit and must have been employed for a minimum of five years prior to the start of the first day of the semester in which the applicant is to commence undergraduate education at the University If the employee fails to maintain employment at the University the tuition waiver will cease at the end of the academic semester in which the employee’s status changed Should an employee whose dependent child or spouse is receiving tuition waiver benefits in accordance with this program become deceased, he beneficiary shall be eligible to continue to receive the benefit as though the employee remained in employment status as long as they meet the University requirements to receive that benefits In order for the Applicant to participate in the tuition waiver program, all of the following criteria must be met: The Applicant must be pursuing his/her first baccalaureate degree The Applicant must meet Montclair State University's criteria for admission Eligibility for the benefit is available to those who maintain either part or full-time matriculated status The Applicant, if a child, must maintain dependent status for each semester If the applicant is a child, the child must be twenty-three (23) years of age or younger and the employee must provide a copy of the child’s birth certificate to verify the child’s age If the applicant is a spouse or party to a civil union, the applicant must submit documentation verifying the applicant’s connection to the employee The Applicant must submit a completed Free Application for Federal Student Aid (FAFSA) The Applicant must maintain good academic standing in accordance with University policy for all credits waived If the grade requirements are not met, the student and/or employee are responsible to reimburse the University and no further waiver will be granted until full reimbursement has been made The Applicant must submit a Tuition Waiver Application to the Office of Human Resources each semester The Applicant and employee must meet all eligibility requirements for that semester If all eligibility requirements are not met, the student and/or employee are responsible to reimburse Montclair State University and no further waivers will be granted until full reimbursement has been made Provisions of the Program Tuition waivers are applicable in the fall and spring semesters as well as the summer session Waivers are for tuition only All other fees and costs are the responsibility of the Applicant Any taxes due on the tuition waiver benefit are the responsibility of the Applicant/employee The tuition waiver will be reduced by the amount of financial aid provided under the State Tuition Aid Grant Program, the Federal Pell Grants and any scholarship funds provided to the student Such reduction will be made prior to the application of tuition waiver No reduction will be made for any loans or work/study funds which accrue to the student The University shall waive 40% of the Applicant’s tuition not covered by scholarships or grants in a program leading to the first baccalaureate degree up to the number of credits required by the degree program for graduation